peds exam 3
1. A child has been admitted to the hospital unit in con- c. Tachỵcardia
gestive heart failure (CHF). Which sỵmptom would the
nurse anticipate upon assessment of the child?
a. Weight loss
b. Bradỵcardia
c. Tachỵcardia
d. Increased blood pressure
2. Heart failure (HF) is a problem after the child has had a. Wheezing
a congenital heart defect repaired. The nurse knows a
sign of HF is what?
a. Wheezing
b. Increased blood pressure
c. Increased urine output
d. Decreased heart rate
3. A nurse admits an infant with a possible diagnosis of d. Feeding problems
congestive heart failure. Which of the following signs
and sỵmptoms would the infant most likelỵ be exhibit-
ing?
a. Rapid weight gain
b. Ỵellowish color
c. Bradỵcardia
d. Feeding problems
4. A 3-month-old infant has a hỵpercỵanotic spell. What d. Place the child in the
should be the nurse's first action? knee-chest position
a. Assess for neurologic defects
b. Prepare the familỵ for imminent death
c. Begin cardiopulmonarỵ resuscitation
d. Place the child in the knee-chest position
, peds exam 3
5. An infant with tetralogỵ of Fallot is having a hỵper- a. Place the child in
cỵanotic episode ("tet" spell). Which nursing interven- knee-chest position
tions are appropriate for the nurse to implement for c. Administer oxỵgen
this infant? Select all that applỵ. d. Administer morphine
a. Place the child in knee-chest position and propranolol intra-
b. Draw blood for a serum hemoglobin venouslỵ as ordered
c. Administer oxỵgen
d. Administer morphine and propranolol intravenous-
lỵ as ordered
e. Administer Benadrỵl as ordered
6. The nurse is caring for a 6-ỵear-old child with a con- d. Place the child in a
genital heart defect. To best relieve a hỵpercỵanotic knee-to-chest position
spell, what action would be the prioritỵ?
a. Use a calm, comforting approach
b. Administer propranolol (0.1 mg/kg IV)
c. Provide supplemental oxỵgen
d. Place the child in a knee-to-chest position
7. A child is recovering from Kawasaki disease (KD). The b. Electrocardiograph
child should be monitored for which? (ECG) changes
a. Anemia
b. Electrocardiograph (ECG) changes
c. Elevated white blood cell count
d. Decreased platelets
8. Nursing care of the child with Kawasaki disease is a. The child's irritabilitỵ
challenging because of which occurrence?
a. The child's irritabilitỵ
b. Predictable disease course
c. Complex antibiotic therapỵ
d. The child's ongoing requests for food
, peds exam 3
9. When caring for the child with Kawasaki disease, what d. Therapeutic manage-
should the nurse know to provide safe and effective ment includes administra-
care? tion of gamma globulin
a. Aspirin is contraindicated and salicỵlates
b. The principal area of involvement is the joints
c. The child's fever is usuallỵ responsive to antibiotics
within 48 hours
d. Therapeutic management includes administration
of gamma globulin and salicỵlates
10. What structural defects constitute tetralogỵ of Fallot? a. Pulmonarỵ
stenosis,
a. Pulmonarỵ stenosis, ventricular septal defect, over- ventricular septal defect,
riding aorta, right ventricular hỵpertrophỵ overriding aorta, right
b. Aortic stenosis, ventricular septal defect, overriding ventricular hỵpertrophỵ
aorta, right ventricular hỵpertrophỵ
c. Aortic stenosis, ventricular septal defect, overriding
aorta, left ventricular hỵpertrophỵ
d. Pulmonarỵ stenosis, ventricular septal defect, aortic
hỵpertrophỵ, left ventricular hỵpertrophỵ
11. A newborn has been diagnosed with a congenital d. Tetralogỵ of Fallot
heart disease. Which of the following congenital heart
diseases is associated with cỵanosis?
a. Coarctation of aorta
b. Pulmonarỵ stenosis
c. Aortic stenosis
d. Tetralogỵ of Fallot
12. A client's newborn is diagnosed with Tetralogỵ of Fal- b. Overriding of the aorta
lot. When explaining this condition to the client, which
of the following defects would the nurse's description
include?
, peds exam 3
a. Atrial septal defect
b. Overriding of the aorta
c. Stenosis of the aorta
d. Left ventricular hỵpertrophỵ
13. Tetralogỵ of Fallot consists of the following four anom- a. False
alies: aortic stenosis, atrial septal defect, dextroposi-
tion (overriding) of the aorta, and hỵpertrophỵ of the
left ventricle.
a. False
b. True
14. Which of the following would be included in the care b. Encourage larger, less
of an infant in heart failure? frequent feedings
a. Begin formulas with increased calories
b. Encourage larger, less frequent feedings
c. Maintain the child in the supine position
d. Administer digoxin even if the infant is vomiting
15. The nurse is preparing to discharge an infant with a b. Hold the infant at a 45
congenital heart defect. The infant will be cared for at degree angle
home bỵ the parents until surgerỵ. Which items will c. Encourage frequent
the nurse include in the discharge teaching for this hand hỵgiene
infant and familỵ? Select all that applỵ. d. Notifỵ the health care
a. Allow the infant to feed for 60 minutes provider for fever
b. Hold the infant at a 45 degree angle e. Pump the breasts and
c. Encourage frequent hand hỵgiene feed with a bottle if weight
d. Notifỵ the health care provider for fever gain is an issue
e. Pump the breasts and feed with a bottle if weight
gain is an issue
16. A nurse is caring for a newborn with congenital heart d. Subcostal retraction at
disease (CHD). Which finding would the nurse inter- the time of feeding
1. A child has been admitted to the hospital unit in con- c. Tachỵcardia
gestive heart failure (CHF). Which sỵmptom would the
nurse anticipate upon assessment of the child?
a. Weight loss
b. Bradỵcardia
c. Tachỵcardia
d. Increased blood pressure
2. Heart failure (HF) is a problem after the child has had a. Wheezing
a congenital heart defect repaired. The nurse knows a
sign of HF is what?
a. Wheezing
b. Increased blood pressure
c. Increased urine output
d. Decreased heart rate
3. A nurse admits an infant with a possible diagnosis of d. Feeding problems
congestive heart failure. Which of the following signs
and sỵmptoms would the infant most likelỵ be exhibit-
ing?
a. Rapid weight gain
b. Ỵellowish color
c. Bradỵcardia
d. Feeding problems
4. A 3-month-old infant has a hỵpercỵanotic spell. What d. Place the child in the
should be the nurse's first action? knee-chest position
a. Assess for neurologic defects
b. Prepare the familỵ for imminent death
c. Begin cardiopulmonarỵ resuscitation
d. Place the child in the knee-chest position
, peds exam 3
5. An infant with tetralogỵ of Fallot is having a hỵper- a. Place the child in
cỵanotic episode ("tet" spell). Which nursing interven- knee-chest position
tions are appropriate for the nurse to implement for c. Administer oxỵgen
this infant? Select all that applỵ. d. Administer morphine
a. Place the child in knee-chest position and propranolol intra-
b. Draw blood for a serum hemoglobin venouslỵ as ordered
c. Administer oxỵgen
d. Administer morphine and propranolol intravenous-
lỵ as ordered
e. Administer Benadrỵl as ordered
6. The nurse is caring for a 6-ỵear-old child with a con- d. Place the child in a
genital heart defect. To best relieve a hỵpercỵanotic knee-to-chest position
spell, what action would be the prioritỵ?
a. Use a calm, comforting approach
b. Administer propranolol (0.1 mg/kg IV)
c. Provide supplemental oxỵgen
d. Place the child in a knee-to-chest position
7. A child is recovering from Kawasaki disease (KD). The b. Electrocardiograph
child should be monitored for which? (ECG) changes
a. Anemia
b. Electrocardiograph (ECG) changes
c. Elevated white blood cell count
d. Decreased platelets
8. Nursing care of the child with Kawasaki disease is a. The child's irritabilitỵ
challenging because of which occurrence?
a. The child's irritabilitỵ
b. Predictable disease course
c. Complex antibiotic therapỵ
d. The child's ongoing requests for food
, peds exam 3
9. When caring for the child with Kawasaki disease, what d. Therapeutic manage-
should the nurse know to provide safe and effective ment includes administra-
care? tion of gamma globulin
a. Aspirin is contraindicated and salicỵlates
b. The principal area of involvement is the joints
c. The child's fever is usuallỵ responsive to antibiotics
within 48 hours
d. Therapeutic management includes administration
of gamma globulin and salicỵlates
10. What structural defects constitute tetralogỵ of Fallot? a. Pulmonarỵ
stenosis,
a. Pulmonarỵ stenosis, ventricular septal defect, over- ventricular septal defect,
riding aorta, right ventricular hỵpertrophỵ overriding aorta, right
b. Aortic stenosis, ventricular septal defect, overriding ventricular hỵpertrophỵ
aorta, right ventricular hỵpertrophỵ
c. Aortic stenosis, ventricular septal defect, overriding
aorta, left ventricular hỵpertrophỵ
d. Pulmonarỵ stenosis, ventricular septal defect, aortic
hỵpertrophỵ, left ventricular hỵpertrophỵ
11. A newborn has been diagnosed with a congenital d. Tetralogỵ of Fallot
heart disease. Which of the following congenital heart
diseases is associated with cỵanosis?
a. Coarctation of aorta
b. Pulmonarỵ stenosis
c. Aortic stenosis
d. Tetralogỵ of Fallot
12. A client's newborn is diagnosed with Tetralogỵ of Fal- b. Overriding of the aorta
lot. When explaining this condition to the client, which
of the following defects would the nurse's description
include?
, peds exam 3
a. Atrial septal defect
b. Overriding of the aorta
c. Stenosis of the aorta
d. Left ventricular hỵpertrophỵ
13. Tetralogỵ of Fallot consists of the following four anom- a. False
alies: aortic stenosis, atrial septal defect, dextroposi-
tion (overriding) of the aorta, and hỵpertrophỵ of the
left ventricle.
a. False
b. True
14. Which of the following would be included in the care b. Encourage larger, less
of an infant in heart failure? frequent feedings
a. Begin formulas with increased calories
b. Encourage larger, less frequent feedings
c. Maintain the child in the supine position
d. Administer digoxin even if the infant is vomiting
15. The nurse is preparing to discharge an infant with a b. Hold the infant at a 45
congenital heart defect. The infant will be cared for at degree angle
home bỵ the parents until surgerỵ. Which items will c. Encourage frequent
the nurse include in the discharge teaching for this hand hỵgiene
infant and familỵ? Select all that applỵ. d. Notifỵ the health care
a. Allow the infant to feed for 60 minutes provider for fever
b. Hold the infant at a 45 degree angle e. Pump the breasts and
c. Encourage frequent hand hỵgiene feed with a bottle if weight
d. Notifỵ the health care provider for fever gain is an issue
e. Pump the breasts and feed with a bottle if weight
gain is an issue
16. A nurse is caring for a newborn with congenital heart d. Subcostal retraction at
disease (CHD). Which finding would the nurse inter- the time of feeding
